Diabetologia:DiaRem评分提高Roux-en-Y胃旁路术后1年糖尿病缓解预测

2017-10-23 MedSci MedSci原创

不是所有接受减肥手术的2型糖尿病患者都能使糖尿病得到缓解。因此,开发用于预测适用于临床实践的结果的方法至关重要。近日,国际杂志 《Diabetologia》上在线发表一项关于高级DiaRem评分提高Roux-en-Y胃旁路术后1年糖尿病缓解预测的研究。

不是所有接受减肥手术的2型糖尿病患者都能使糖尿病得到缓解。因此,开发用于预测适用于临床实践的结果的方法至关重要。近日,国际杂志 《Diabetologia》上在线发表一项关于高级DiaRem评分提高Roux-en-Y胃旁路术后1年糖尿病缓解预测的研究。 DiaRem评分与预测Roux-en-Y胃旁路(RYGB)后的糖尿病缓解相关,但对所有个体来说,整个评分范围并不准确。研究人员旨在开发改进的评分系统,用于预测RYGB后的糖尿病缓解(Advanced-DiaRem [Ad-DiaRem])情况。研究人员使用回顾性的法国队列(n= 1866),其中包括352名RYGB后1年的2型糖尿病患者。研究人员在测试队列(n=213)中开发了Ad-DiaRem,并检查了法国(n=134)和以色列(n= 99)的独立队列的准确性。 研究人员将两个临床变量(糖尿病持续时间和降糖药数量)添加到原始DiaRem,并修订每个类别的弱点,从而改善Ad-DiaRem的预测性能。Ad-DiaRem与DiaRem相比,在接受者工作特征曲线和预测准确度下显示出改善的面积(0.911 vs 0.856和0.841,分别为0

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    2018-04-01 tongyongming
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    2017-10-23 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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荷兰的一项小规模临床试验发现,移植瘦人的粪便可以暂时提高肥胖男性的胰岛素耐受性——但只有一半受试者出现了反应。经过进一步调查,研究人员发现可以通过分析每个病人的粪便细菌组成,预测治疗的成败。这有助于为糖尿病患者的个性化粪便移植的发展提供帮助。相关论文近日刊登于《细胞—代谢》杂志。

JAMA Intern Med:多学科讨论:评估2型糖尿病低血糖的6大风险因素

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患者女,68岁,主因“反复发热20d”就诊。

控糖治疗中,老饿咋办?

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